Neglected ankle dislocation.

Tibiotalar dislocation without concomitant fracture in the surrounding bones is a rare injury. We report this type of injury presenting unreduced after a 10-month interval. A 23-year-old woman presented to our clinic 10 months after an earthquake in Bam, Iran, during which she had sustained an anterior tibiotalar dislocation without any associated fracture. Open reduction was attempted twice, but was not successful because of poor bone quality. Although ankle dislocation has been reported to be associated with good prognosis, this was not the case with our late-presenting patient. We could not find a similar case in the literature.